Organization Active NPI

Borden S Family Pharmacy LLC

  • Long Term Care Pharmacy
  • Clio, MI
National Provider Identifier
1033085220
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BORDEN S FAMILY PHARMACY LLC
Practice address
415 W Vienna St
Clio, MI 48420-1307
Phone
(810) 547-1278
Fax
(810) 547-1542
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kyle V Brotherton, PHARMD.NPI 1669966263
Title
Owner/Pic
Phone
(810) 547-1278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

415 W Vienna St
Clio, MI 48420-1307

Mailing address

415 W Vienna St
Clio, MI 48420-1307
Phone (810) 547-1278

National Provider Directory

National Provider Directory
Tax ID family
Borden S Family Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1033085220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W VIENNA ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201307",
            "telephone_number": "810-547-1278",
            "fax_number": "810-547-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W VIENNA ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201307",
            "telephone_number": "810-547-1278",
            "fax_number": "810-547-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDEN S FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "BROTHERTON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "810-547-1278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.